NPIMap

Organization Active NPI

Wellman Investors Inc

Doing business as Parkview Manor

  • Skilled Nursing Facility
  • Wellman, IA
National Provider Identifier
1285711630
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
920820 Issued in IA
Legal business name
WELLMAN INVESTORS INC
Doing business as
Parkview Manor
Practice address
516 13TH St
Wellman, IA 52356-9232
Phone
(319) 646-2911
Fax
(319) 646-2941
NPI assigned
Nov 1, 2006
Last updated
Sep 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry Nicholls
Title
Owner
Phone
(319) 646-2911

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X S0168 IA
Assisted Living Facility 310400000X S0160 IA
Skilled Nursing Facility 314000000X 920820 IA Primary

Addresses

Primary practice location

516 13TH St
Wellman, IA 52356-9232

Mailing address

516 13TH St
Wellman, IA 52356-9232
Phone (319) 646-2911

Other identifiers 3

IdentifierTypeStateIssuer
0223636MedicaidIA
0803122MedicaidIA
65234OtherIABCBS PROVIDER #

Other names 1

  • Parkview Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1285711630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 13TH ST",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523569232",
            "telephone_number": "319-646-2911",
            "fax_number": "319-646-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 13TH ST",
            "city": "WELLMAN",
            "state": "IA",
            "postal_code": "523569232",
            "telephone_number": "319-646-2911",
            "fax_number": "319-646-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMAN INVESTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "NICHOLLS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-646-2911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0168",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0160",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "920820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223636",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803122",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "65234",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellman, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.